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Independent investigation: Bianca ‘Kay’ Shepherd, Uxbridge (2015)

London Incident 10 Nov 2015 Subject Bianca ‘Kay’ Shepherd

Paranoid schizophrenic fatally stabs housemate. Previous history of aggression and violence

Report PDF Hundred Families
Jump to 4 recommendations

Acceptance status

Per recommendation
No Response Published
4
Total recommendations
4
About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.

Recommendations

4 total
1 Central North West London NHS Foundation Trust No Response Published
Recommendation
The positions of individuals signing off key assurance documents should be stated.
2 Central North West London NHS Foundation Trust No Response Published
Recommendation
The Trust should review the gaps in evidence we have identified with a view to providing NHSE with assurance within three months that it has comprehensively implemented its action plan.
3 NHS Harrow CCG No Response Published
Recommendation
The CCG should assure itself within the next three months that it has robust systems and processes in place to monitor and test individual SI action plans. This should include finalising its SOP for the ‘internal management of Serious Incidents … Read more
4 NHS Harrow CCG No Response Published
Recommendation
The CCG should undertake an audit of Serious Incidents within the past 12 months with a view to confirming that action plans were monitored and tested.